retired doc's thoughts

Monday, January 30, 2017

The major barrier to third party payers control of medical costs is being dismantled

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A major barrier ( I argue the major barrier) to control health care costs by the third party payers has been and still is to a lesser degree...
Tuesday, January 24, 2017

Is the athlete's slow heart rate really due to increased vagal tone as conventional wisdom suggests

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An article from three British researchers makes a good case that vagal tone is not the reason for the athlete's bradycardia in a 2015 co...
Saturday, January 14, 2017

The minimum exercise levels of the 2008 guidelines won't prevent heart failure.

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IMPORTANT CORRECTION:Since this commentary was posted I  realized I misinterpreted the two articles I quoted leading to the title conclusion...
Saturday, January 07, 2017

High school and college football deaths average about 3 per year

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A recent report by KL Kucera et al give details on high school and college fatalities related to head and/or spinal injuries . From 2004 ...
Friday, January 06, 2017

two studies reassuring endurance athletes re long term heart damage

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Two, articles, one from Germany and one from Italy might provide some reassurance to long time endurance athletes worried about too much of ...

Can "too much" exercise increase risk of atrial fibrillation in men but not women?

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Can "excessive " exercise increase the risk of atrial fibrillation in men but somehow spare women hyper-endurance exercisers from ...
Thursday, December 22, 2016

Risk of stroke in patients with atrial fibrillation -with and without anticoagulation

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Previously, I had commented on the risk of stroke in atrial fibrillation patients not treated with oral anticoagulants (OAC).In that comment...
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Friday, December 16, 2016

The old and the new paroxysmal atrial fibrillation- new questions raised by new technology

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Paroxysmal atrial fibrillation (PAF) has typically been diagnosed in a patient with cardiac symptoms seeking care for   episodic symptoms  w...
Friday, December 09, 2016

How do patients with atrial fibrillation do when not treated with anticoagulants?

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Clinical guidelines and conventional medical wisdom all recommend oral anticoagulation (OAC) for patients with atrial fibrillation who are d...
Thursday, November 17, 2016

Set point theory of threshold of physical actiivity to maximize the "health span"

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Dr. Lazarus and Harridge from King's college in London have suggested that by observing the trajectory of decline in physiological para...
Wednesday, November 16, 2016

Is Medicine increasingly less about physicians and patients and more about "Big Medicine"?

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By "big medicine", I mean to refer collectively to the large organizations that form much of the medical landscape in the U.S. The...
Sunday, November 13, 2016

More evidence of brain damage in NFL players

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More evidence of   the brain damage that occurs  in  professional football players   was presented at the 2016 meeting of the American Acade...
Friday, November 04, 2016

What works best-HIIT,SIT or MICT for various aspects of the training effect?

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HIIT is high intensity interval  training or interval training in which the person exercises to at least 80% of his maximal heart rate and o...
Wednesday, October 26, 2016

Run like a Keyan or maybe better a Kalenjin

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Occasionally while  running in the park I will see a T-shirt that says "Run Like a Keynan". A more precise and accurate phrasing m...
Monday, October 10, 2016

Exercise capacity of octogenarians and age related decline in exercise capacity

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A great source for information about the exercise capacity of octogenarians is a 2013 article by Scott Trappe and co-authors.( Trappe,S et...
Thursday, October 06, 2016

Exercise intensity and risk of atrial fibrillation-a possible gender specific effect

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Dr, S. Moharty  et al have presented a meta-analysis on the relationship between exercise level and risk of atrial fibrillation (AF). In wh...
Wednesday, September 07, 2016

Endurance exercise athletes heart works differently from the untrained but how much is training and how much genetic?

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People who do endurance exercise training may re-model their hearts in a way that not surprisingly facilitates exercise but also this may ha...
Friday, September 02, 2016

Health care with other people's money- what could be wrong with that?

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Paying for health care with other people's money-what could possibly go wrong? Dr. Paul Hsieh answers the question posed in the...
Thursday, September 01, 2016

What is going on with the price of the Epipen?

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 Scott Alexander on his blog Slate Star Codex offers this insightful explanation of what is going on with the price of the Epipen and why a...
Wednesday, August 03, 2016

New high school football season advice-don't let your babies grow up to be defensive backs

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 Extracted from an article  from AANS regarding traumatic brain injury (TBI) data from 2012: Defensive backs in American football are a...
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About Me

james gaulte
Trained in and practiced internal medicine and pulmonary disease.interested in endurance exercise,economics and gerontology
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